TARA SUE VANGUNDY CFNP
NPI 1295080851
Nurse Practitioner - Family in Oakwood, OH

Q: What is Tara Vangundy's NPI number?

The NPI number for Tara Vangundy is 1295080851. It was assigned to this individual provider in the NPPES registry on July 19, 2012. The provider is also known as Tara Sue Ray Rn.

Q: What is Tara Vangundy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Vangundy was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2012PECOS EnrolledAccepts Medicare Assignment

1110 OAKWOOD AVE, OAKWOOD, OH 45419(937) 885-7163(937) 567-0670 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tara Sue Vangundy Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA SUE VANGUNDY CFNP (NPI 1295080851) is an individual family provider in Oakwood, Ohio, licensed in Ohio (COA13396) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2012).

NPPES Registry Identity

NPI1295080851

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA SUE VANGUNDYCredential: CFNP

Location Address1110 OAKWOOD AVEOakwood, OH 45419-2911

Mailing Address7073 Clyo RdCenterville, OH 45459-4816 · (937) 435-5857 · Fax (937) 912-4960

Phone(937) 885-7163

Fax(937) 567-0670

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2012

Enumeration DateJuly 19, 2012

Last NPPES UpdateFebruary 12, 2025

NPPES CertifiedFebruary 12, 2025

✔ NPI 1295080851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · COA13396

1110 OAKWOOD AVE, Oakwood, OH 45419

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Other Names 1

Other Name (5)Tara Sue Ray Rn

Other Identifiers 1

Medicaid0068897OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Sue Vangundy Cfnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052567302

PECOS Enrollment IDI20120802000249

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Tara Vangundy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comprehensive Geriatric Care, LLC

Same address

Geriatric Medicine

1110 OAKWOOD AVE
Oakwood, OH 45419

Reassigned Medicare billing, Ohio enrollment
7 clinicians in this Medicare group

NPI 1598945230 (419) 206-1249

Kav Health Group, LLC

3.8 mi

Mental Health (Including Community Mental Health Center)

5563 FAR HILLS AVE
Dayton, OH 45429

Reassigned Medicare billing, Ohio enrollment
11 clinicians in this Medicare group

NPI 1255978300 (937) 291-2300

Valley Medical Primary Care, Inc

5.5 mi

Geriatric Medicine

6611 CLYO RD, SUITE E
Centerville, OH 45459

Reassigned Medicare billing, Ohio enrollment
18 clinicians in this Medicare group

NPI 1528127610 (937) 208-8280

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

493 services82 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

355 services53 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

68 services25 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

55 services29 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

41 services20 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

22 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45419 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$67.52 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$33.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY NICOLE MITCHELL NP

Nurse Practitioner (Gerontology)